Evidence map›Paper›PMID 32873298›Full record

ArticleJournal of translational medicine2020

High expression of MKK3 is associated with worse clinical outcomes in African American breast cancer patients.

Xuan Yang, Mohamed Amgad, Lee A D Cooper, Yuhong Du, Haian Fu, Andrey A Ivanov

Abstract read
In one paragraph

Article in Journal of translational medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Xuan YangDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Emory University, 1510 Clifton Road, Atlanta, GA, 30322, USA.
Mohamed AmgadDepartment of Biomedical Informatics, Emory University School of Medicine, Emory University, Atlanta, GA, USA.
Lee A D CooperDepartment of Pathology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Yuhong DuDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Emory University, 1510 Clifton Road, Atlanta, GA, 30322, USA.
Haian FuDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Emory University, 1510 Clifton Road, Atlanta, GA, 30322, USA. hfu@emory.edu.
Andrey A IvanovDepartment of Pharmacology and Chemical Biology, Emory University School of Medicine, Emory University, 1510 Clifton Road, Atlanta, GA, 30322, USA. andrey.ivanov@emory.edu.ORCID 0000-0001-7476-1329

Funding

Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI Suresh S Ramalingam · 2009 to 2026
$47.5M
Project 3: Targeting Bax signaling to overcome treatment resistance in NSCLCP50CA217691 · NCI · EMORY UNIVERSITY · PI DENG, XINGMING · 2019 to 2024
$10.1M
Systematic discovery of neomorph protein-protein interactions in cancer for oncogenic pathway perturbationU01CA217875 · NCI · EMORY UNIVERSITY · PI FU, HAIAN · 2017 to 2021
$4.5M
HIGH THROUGHPUT PROTEIN-PROTEIN INTERACTION INTERROGATION IN CANCERU01CA168449 · NCI · EMORY UNIVERSITY · PI FU, HAIAN · 2012 to 2016
$4.2M
NCI NIH HHS 5P30CA138292NCI NIH HHS P30 CA138292NCI NIH HHS P50 CA217691NCI NIH HHS U01CA168449NCI NIH HHS U01 CA217875NCI NIH HHS U01CA217875
6 · The paper itself

Abstract

backgroundAfrican American women experience a twofold higher incidence of triple-negative breast cancer (TNBC) and are 40% more likely to die from breast cancer than women of other ethnicities. However, the molecular bases for the survival disparity in breast cancer remain unclear, and no race-specific therapeutic targets have been proposed. To address this knowledge gap, we performed a systematic analysis of the relationship between gene mRNA expression and clinical outcomes determined for The Cancer Genome Atlas (TCGA) breast cancer patient cohort.

methodsThe systematic differential analysis of mRNA expression integrated with the analysis of clinical outcomes was performed for 1055 samples from the breast invasive carcinoma TCGA PanCancer cohorts. A deep learning fully-convolutional model was used to determine the association between gene expression and tumor features based on breast cancer patient histopathological images.

resultsWe found that more than 30% of all protein-coding genes are differentially expressed in White and African American breast cancer patients. We have determined a set of 32 genes whose overexpression in African American patients strongly correlates with decreased survival of African American but not White breast cancer patients. Among those genes, the overexpression of mitogen-activated protein kinase kinase 3 (MKK3) has one of the most dramatic and race-specific negative impacts on the survival of African American patients, specifically with triple-negative breast cancer. We found that MKK3 can promote the TNBC tumorigenesis in African American patients in part by activating of the epithelial-to-mesenchymal transition induced by master regulator MYC.

conclusionsThe poor clinical outcomes in African American women with breast cancer can be associated with the abnormal elevation of individual gene expression. Such genes, including those identified and prioritized in this study, could represent new targets for therapeutic intervention. A strong correlation between MKK3 overexpression, activation of its binding partner and major oncogene MYC, and worsened clinical outcomes suggests the MKK3-MYC protein-protein interaction as a new promising target to reduce racial disparity in breast cancer survival.

Indexed as

Breast NeoplasmsTriple Negative Breast NeoplasmsBlack or African AmericanCell Transformation, NeoplasticFemaleHumansIncidenceWhite PeopleDifferential expressionMKK3Racial disparityTriple-negative breast cancer

Identifiers

PMID32873298
PMCPMC7465409

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.